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Dental Exam Records - Record every detail of adult and primary dentition. Front features 1-32 numbering and a-t lettering, and an area to summarize patient history. Back has space to list services needed or rendered and fees. Pricing is for one packa...

Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1450 (UB04) to serve federal programs and private insurers as a universal claim form.1 Part Laser (1000 Single Sheets - for...

1 Part NEW CMS 1500 Forms (02/12) for Pinfeed Printers. White Pinfeed OCR scanable paper. Black and red ink. 100% compatible with UCCI requirements. This is the NEW CMS 1500 form mandated by the U.S. Centers for Medicare and Medicaid Services (CMS)1 ...

This is the new approved form that Medicare accepts. Save more with this bundle of 2000 form sheets.NEW CMS 1500 Health Insurance Claim Forms (Approved 02/12) - 2000 SHEETS. 1-Part Laser Form CMS-1500 Printed in Red Ink. New Version 02/12 (APPROVED O...

Item Number UB04CF The UB04 Hospital Claim Form contains a number of improvements and enhancements that include better alignment with the electronic HIPAA ASC X12N 837-Institutional Transaction Standard The UB04 paper billing form will be able to acc...

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